uworld2 Flashcards
unsafe exercise in pregnancy?
contact sprts high fall risk, scuba diving, hot yoga
absolute contraindications to exercise during preg
amniotic fluid leak cervical incompetence multiple gestation placenta abruption/previa premature labor pre-eclampsia/gestational HTN severe heart/lung diseaes
IUFD + maternal labs?
chronic consumptive coagulopathy due to gradual release of tissue factor (thromboplastin) from the placenta into the maternal circulation
signs of a consumptive coagulopathy
dec. platelet count
incr. PT/PTT
pseudocyesis
woman presents w/ signs + symptoms of pregnancy + reported positive urine pregnancy test w/ a nL endometrial stripe
tocolytic
beta-mimetics (terbutaline / ritodrine)
Mg
Calcium channel blockers
sfx of beta-mimetics
DM2 / tachycardia
post-partum hemorrhage drugs
prostaglandin Alpha-F
what do you give for Mg overdose
Calcium carbonate
sfx of nifedpine
late decels = urethroplacental sufficiency b/c of hypotension
indomethicin causes
oligohydramnios = cord compression = variable decels
measurement of lung maturity
lecithin-sphingomyeline > 2:1
phosphotidylglycerol from amnion fluid
expected to be mature at 32 wks
what to give if concerned about premature labor?
17-hydroxyprogesterone
once a week
risk factor for cervical insufficiency
prior gyn surgery (esp. LEEP/cone biopsy of the cervix)
prior obstetrical trauma
multiple gestation
Mullerian anomalies
hx of preterm birth / 2nd trimester pregnancy loss
risk factors for placental abruption?
hx of maternal trauma
chronc HTN
maternal smoking
hx of external cephalic version
what is anemia criteria?
<10.5 in 3rd trimester
GFR during preg nL physiology
incr. GFR, dec. BUN, / Cr.
what are heme changes in preg physio?
incr. in fibrinogen + coagulation
dec. in total protein S antigen & activity
what aer pulm changes with preg physio?
chronic resp. alkalosis + metabolic compensation
Incr. PaO2 & dec. paCO2
indications for cervical conization
CIN1-3
carcinoma - in - situ
cant exclude cancer after biopsy/colpo/ECC
no visualization of the transformation zone
discordance b/w pap + colpo
positive ECC
indications for hospitalization + parenteral antibiotics for PID
high fever failure to respond to oral antibiotics inability to take oral meds due to nausea/vomiting pregnancy noncompliance
hospitalization regiments for PID
cefoxitin OR
cefotetan/doxycycline
clindamycin/gentamycin (IV)
how to eval adnexal mass?
transvag u/s + CA-125
what are concerning signs for u/s?
mass > 10 cm
nodular/fixed pelvic mass
ascites
evidence of mets
what is sfx of raloxifene?
incr. risk of venous thromboembolism
leg cramps / hot flashes
what does tamoxifine incr. risk for?
endometrial cancer
